Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany

@article{Sandmann2015EconomicEO,
  title={Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany},
  author={Arne Sandmann and Michael Amling and Florian Barvencik and H H K{\"o}nig and Florian Bleibler},
  journal={Public Health Nutrition},
  year={2015},
  volume={20},
  pages={1874 - 1883}
}
Abstract Objective The study evaluates the economic benefit of population-wide vitamin D and Ca food fortification in Germany. Design Based on a spreadsheet model, we compared the cost of a population-wide vitamin D and Ca food-fortification programme with the potential cost savings from prevented fractures in the German female population aged 65 years and older. Setting The annual burden of disease and the intervention cost were assessed for two scenarios: (i) no food fortification; and (ii… 
Public health impact and economic evaluation of vitamin D-fortified dairy products for fracture prevention in France
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Vitamin D-fortified dairy products have the potential to substantially reduce the burden of osteoporotic fractures in France and seem an economically beneficial strategy, especially in the general population aged above 70 years.
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TLDR
The potential public health and economic benefits of vitamin D fortified dairy products is expected to substantially increase in the future, especially in the population aged over 80 years.
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TLDR
There is a paucity of data on vitamin D fortification and how fortification programmes compare to population supplementation programmes, and suggestions of what is required to undertake population-based cost-effectiveness analysis are offered.
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TLDR
A systematic review suggests that the use of dairy products could substantially reduce the burden of osteoporotic fractures and seem to be an economically beneficial strategy.
Vitamin D Dietary Intake through Dairy Products to Reduce the Risk of Osteoporosis
TLDR
There is enough clinical data demonstrating that an intake of vitamin D and calcium together sufficient to cover dietary requirements can greatly reduce the risk of osteoporotic fracture in older people, so recommended daily intake of dietary vitamin D is strictly correlated with age.
Rationale and Plan for Vitamin D Food Fortification: A Review and Guidance Paper
TLDR
Systematic vitamin D food fortification is an effective approach to improve vitamin D status in the general population and this has already been introduced by countries such as the US, Canada, India, and Finland.
Effect of Calcium Fortified Foods on Health Outcomes: A Systematic Review and Meta-Analysis
TLDR
It is highlighted that calcium fortification leads to a higher calcium intake, small benefits in children’s height and bone health and also important evidence gaps for other outcomes and populations that could be solved with high quality experimental or quasi-experimental studies in relevant groups.
Dietary Intake of Vitamin D from Dairy Products Reduces the Risk of Osteoporosis
TLDR
It is important to maintain correct dietary calcium-phosphate balance in order to have a healthy life, reducing the risk of osteoporotic fractures in older people.
Regulatory and Policy-Related Aspects of Calcium Fortification of Foods. Implications for Implementing National Strategies of Calcium Fortification
TLDR
The strategy to include calcium in the fortification mix in fortified staple foods seems promising in these countries, however, potential undesired changes on the organoleptic characteristics of fortified foods and products thereof, and operational feasibility at the manufacturing site should be evaluated by the stakeholders during the planning stage.
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